Ramipril 10mg: Cost, Savings, and How to Pay Less
Ramipril 10mg is the maximum ACE inhibitor dose for blood pressure and heart failure, with a Drug Tariff price of approximately 75p per pack.
How much does Ramipril 10mg cost on the NHS?
Ramipril 10mg has a Drug Tariff price of approximately 75p for a 28-capsules pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 35m items dispensed in 2024/25, Ramipril is one of the most prescribed drugs in England. Through RepeatsDirect, patients can access the same medication privately for £5.50/month.
How much does Ramipril 10mg actually cost?
The NHS Drug Tariff lists the reimbursement price for Ramipril 10mg at approximately 75p per 28-capsules pack. This is the price the NHS pays pharmacies for the drug itself. The NHS prescription charge of £9.90 covers this drug cost plus dispensing fees, administration, and a contribution to NHS services — but for cheap generic drugs, it represents a significant markup.
Drug Tariff cost
75p
per pack
NHS charge
£9.90
1,220% markup
Our price
£5.50
via private Rx
Ramipril has approximately 35m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Ramipril used for?
Ramipril 10mg is the maximum dose of this ACE inhibitor, used in patients requiring maximum blood pressure control or high-dose heart failure therapy. It provides the same cardiovascular protection as lower doses but with greater antihypertensive effect.
The Drug Tariff price for Ramipril 10mg (28 capsules) is approximately 75p. The NHS charge of £9.90 represents a markup of over 1,200% on the medication cost alone.
RepeatsDirect can supply Ramipril 10mg for £5.50 per month via private prescription. Our pharmacist independent prescriber will review your blood pressure readings and clinical history to confirm the prescription is appropriate.
How can you save money on Ramipril 10mg?
Patients in England who pay the prescription charge can switch to a private prescription for Ramipril 10mg and pay significantly less. Through RepeatsDirect, a qualified pharmacist independent prescriber conducts a short clinical review and issues a private prescription. You pay £5.50 per month — saving £4.40 per month, or £52.80 per year.
| Option | Per month | Per year |
|---|---|---|
| NHS prescription charge | £9.90 | £118.80 |
| RepeatsDirect (private Rx) | £5.50 | £66.00 |
| Annual PPC (unlimited NHS Rx) | £9.54/mo avg | £114.50 |
A PPC is better value if you pay for 12+ items per year. RepeatsDirect is better value if you pay for fewer items or only want to switch the cheapest drugs.
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